Table 1.

Technical Pearls for Arthroscopically Assisted Core Decompression

Hip Arthroscopy	Core Decompression
Establish AL and anterior portals.	Maintain arthroscope in joint to assist in avoiding subchondral penetration.
Evaluate femoral head for subchondral collapse.	Introduce drill and reamer under radiographic guidance; lesion is typically in anterosuperior femoral head.
Evaluate integrity of articular cartilage.	Introduce arthroscope into socket to confirm integrity of subchondral bone at lesion site.
Evaluate labrum and bony margin of acetabulum.	Implant ceramic putty to provide compressive strength.
Use interportal or T-capsulotomy to address concomitant labral and/or femoral head-neck pathology.	Perform dynamic arthroscopy of femoral head.